CAJ | 학술논문

目的探讨精神分裂症恢复期患者认知功能对社会功能的影响.方法对80例精神分裂症恢复期患者采用瑞文标准测验(CRT)、韦氏成人智力量表(WAIS)、威斯康星卡片测验(WCST),分别与社会功能缺陷量表(SDSS)进行多重线性回归分析.结果经逐步回归分析显示,WCST中变量(正确反应数、持续错误数、分类数)、WAIS中言语量表分、CRT中瑞文总分进入回归方程,拟合的回归方程均有统计学意义.其中瑞文总分、言语量表分与SDSS呈线性负相关关系,持续错误数与SDSS呈线性正相关关系;比较WCST、CRT、WAIS与SDSS的相关性,回归模型的拟合最好的为WCST.结论精神分裂症患者的认知功能与社会功能有显著相关性,正确的评测及改善认知功能对提高患者的社会功能有重要意义,WCST提供了一个有效预测精神分裂症患者社会功能的重要方法.
목적 탐토정신분렬증회복기환자인지공능대사회공능적영향.방법 대80례정신분렬증회복기환자채용서문표준측험(CRT)、위씨성인지역량표(WAIS)、위사강성잡편측험(WCST),분별여사회공능결함량표(SDSS)진행다중선성회귀분석.결과 경축보회귀분석현시,WCST중변량(정학반응수、지속착오수、분류수)、WAIS중언어량표분、CRT중서문총분진입회귀방정,의합적회귀방정균유통계학의의.기중서문총분、언어량표분여SDSS정선성부상관관계,지속착오수여SDSS정선성정상관관계;비교WCST、CRT、WAIS여SDSS적상관성,회귀모형적의합최호적위WCST.결론 정신분렬증환자적인지공능여사회공능유현저상관성,정학적평측급개선인지공능대제고환자적사회공능유중요의의,WCST제공료일개유효예측정신분렬증환자사회공능적중요방법.
Objective To investigate the correlation between cognitive functioning and social functioning in remitted patients with schizophrenia.Methods 80 remitted patients with schizophrenia were tested by 3 neuropsychological tests including Wisconsin card sorting test(WCST),CRT and Wechsler adult intelligence scale(WAIS).Multiple regression analysis were calculated between SDSS and each neuropsychological tests.Results Multiple regression equations were established with SDSS as the independent variable and the dependent variable were right responses,persistent error responses,categories completes of WCST,total scores of CRT and verbal scale scores of WAIS;Each multiple regression equations has statistically significant diference.The persistent error responses of WCST was a positively significant related to total scores of SDSS,and there was a negative significant correlation between total scores of CRT,verbal scale scores of WAiS and total scores of SDSS.Correlations were significant among the 3 neuropsychological tests and SDSS.and the strength of the correlation between SDSS and WCST was the highest.Conclusions The cognitive function is significantly relation with the social functioning in remitted patients with schizophrenia.Accurate assessment and effective intervention for cognitive function are significant to improving social functioning in schizophrenial.WCST provide a useful method for prognosticating social functioning of patients with schizophrenia.